Individual
JASON CHRISTOPHER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDHS
Contact information
Practice address
1519 ALASKAN WAY S, SEATTLE, WA 98134-1102
(206) 217-6432
Mailing address
1519 ALASKAN WAY S, SEATTLE, WA 98134-1102
(206) 217-6432
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
4341-4744-6009
—
171000000X
Military Health Care Provider
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
05/05/2011
Last updated
09/12/2024
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